Barnes, Randall C

Barnes, Randall C is an individual health care provider with primary practice located at 1057 Medical Park Dr Suite A, Osage Beach MO 65065-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Barnes, Randall C can be contacted via phone (573) 302-3200.

Contact Information

Primary practice address
1057 Medical Park Dr Suite A Osage Beach MO 65065-3000
Phone: (573) 302-3200
Fax: (573) 302-3210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3A38 Missouri

Profile Details

NPI number 1275577926
LBN Legal business name Barnes, Randall C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 7th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275577926 NPPES
Missouri Other P00663674 RAIL ROAD MEDICARE
Missouri MEDICAID 241215805 RAIL ROAD MEDICARE

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